NPI | 1720556236 |
---|---|
Former Name | MARGARET SIA TOLBERT-WALLACE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MN 167979-9) |
Enumeration Date | 2018-11-02 |
Last Update Date | 2018-11-02 |